FORM GST DRC – 21

[See rule 158(2)]

Reference No <<--->>                                                            << Date >>

To

GSTIN                  

Name------------

 Address-----------

Demand Order No.:                                                                            Date:

Reference number of recovery:                                                           Date: 

Period -

Application Reference No. (ARN) -                                                   Date -

                             Order for acceptance/rejection of application for deferred payment / payment in instalments

This has reference to your above referred application, filed under section 80 of the Act. Your application for deferred payment / payment of tax/other dues in instalments has been examined and in this connection, you are allowed to pay tax and other dues by ------- (date) or in this connection you are allowed to pay the tax and other dues amounting to rupees ------ in ------- monthly instalments.

                                                                                                          OR

This has reference to your above referred application, filed under section 80 of the Act. Your application for deferred payment / payment of tax/other dues in instalments has been examined and it has not been found possible to accede to your request for the following reasons:

                                                                                                                                                              Signature                                                                                                                                                                                                         Name                                                                                                                                                                                                             Designation

Place: 

Date: